bandage-green

Phalloplasty and Metoidioplasty

Anesthesia Implications

Clinically reviewed by anesthesia providers · Updated

Position : Lithotomy, Supine, one arm extended, one arm tucked
Time : 4+ hours (very long)
Blood Loss : High (200 - 500 ml)
Post-op Pain : High (7-10)
Maintenance Paralytic : Yes
Blocks : Supraclavicular, Pudendal
Considerations : Arterial line, Tourniquet, Anticoagulation / Antiplatelet Therapy, Prolonged Lithotomy / Well-Leg Compartment

Anesthetic Approaches

1GETT
2GETT, TIVA
The Surgery

Perineal groundwork - vaginectomy or colpocleisis obliterates the vaginal canal, and the native urethra is mobilized for lengthening; this stage is shared by both operations and accounts for much of...

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